MEDICARE: DR. ABDULATEEF O KAREEM M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QG0300X	Geriatric Medicine (Family Medicine) Physician	036-102971	IL

General Provider Information

NPI Number	:	1336109784
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ABDULATEEF O KAREEM M.D.

Provider Business Mailing Address
First Line	:	16448 MORGAN LN
Second Line	:
City	:	ORLAND HILLS
State	:	IL
Zip	:	60477-5610
Country	:	US
Telephone Number	:	708-364-7724
Fax Number	:	708-364-7724

Provider Business Practice Location Address
First Line	:	1473 RING RD
Second Line	:
City	:	CALUMET CITY
State	:	IL
Zip	:	60409-5459
Country	:	US
Telephone Number	:	773-510-9985
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2006
Last Update Date	:	07/25/2008

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